Characteristics of relationship to disease in adult patients with chewing-speech apparatus pathology

The work is done on the basis of the survey 144 (100 men and 44 women) ranging in age from 22 to 85 years, suffering from various diseases of the maxillofacial region. We studied the relation to disease adult patients of different age groups with various chronic diseases of the organs and tissues of the chewing-the vocal apparatus: the pathology of the temporomandibular joint (TMJ) and masticatory muscles, malocclusion, chronic generalized periodontitis, complications ofdental implants and diseases of the salivary glands, accompanied by the syndrome of "dry mouth". To determine the type of relationship of the patient to the disease used clinical test methodology TOBOL (type of attitude to the disease), which implemented clinical-psychological typology of the relationship of the patient to the disease. The methodology provides the possibility of defining one of the 12 types of responses that can be diagnosed by the test: sensitive, anxious, hypochondriac, melancholic, apathetic, neurotic, egocentric, paranoid, anosognosic, dysphoric, alopaticos and harmonious. They are all allocated into 3 three blocks: semiadaptive, intrapsychic-and interpsychic non-adaptive-non-adaptive. It is established that patients with pathology of the TMJ, masticatory muscles, as well as persons young and middle age with chronic generalized periodontitis had high levels in block 1, and their psychosocial adaptation is not disturbed significantly. Patients of older age groups suffering from periodontitis, as well as young people with malocclusion and patients with pathology of the salivary glands, accompanied by the syndrome of "dry mouth", have high values in unit 2, which is characterized by intrapsychic orientation of personal response to the disease causing violations of social adaptation of patients. Persons of all age groups who have received complications of dental implants, have high values in the block 3, which is characterized interesanta the direction of personal response to the disease causing also a violation of social adaptation ofpatients. 2-m and 3-m type of relationship ofpatients with dental pathology to the disease to obtain a positive therapeutic effect and successful rehabilitation should be involved in planning treatment and rehabilitation (provided psychotropic, psychotherapeutic intervention) clinical pharmacist or therapist.

dental diseases, chewing-the vocal apparatus, temporomandibular joint, muscles of mastication, salivary glands, periodontal disease, complications of dental implantation, dental anomalies, relation to disease